Individual
MS. MICHELE C MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16111 PLUMMER ST, BLDG #200 RM#3411, NORTH HILLS, CA 91343-2036
(818) 891-7711
(818) 895-9453
Mailing address
16111 PLUMMER ST, NORTH HILLS, CA 91343-2036
(818) 891-7711
(818) 895-8453
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN396527
CA
Other
Enumeration date
07/03/2006
Last updated
09/19/2014
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